AzTrials
AzTrials

MyelofibrosisPhase 3POIESISNCT06479135

Study of Navtemadlin add-on to Ruxolitinib in JAK Inhibitor-Naïve Patients With Myelofibrosis Who Have a Suboptimal Response to Ruxolitinib

A Phase 3 study testing Navtemadlin and Ruxolitinib in people with Myelofibrosis and Post-PV MF, run by Kartos Therapeutics, Inc. at 215 sites in 19 countries.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record

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Trial summary

This clinical trial is evaluating whether addition of navtemadlin to ruxolitinib treatment will provide more clinical benefit than ruxolitinib alone for patients with Myelofibrosis who have a suboptimal response to ruxolitinib treatment alone. Subjects will start by receiving ruxolitinib alone in the run-in period. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Myelofibrosis, Post-PV MF, Post-ET Myelofibrosis
What is being tested?
Navtemadlin and Ruxolitinib
Type of treatment
Pill or oral medicine
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
600 participants
Where
215 sitesin 19 countries
Study dates
3 Jun 2024to 31 Dec 2028
Phase
Phase 3

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Confirmed diagnosis of PMF, post-PV MF, or post-ET MF, as assessed by the treating physician according to the World Health Organization (WHO) criteria
  • High, Intermediate-1, Intermediate-2 risk category International Prognosis System Score (IPSS)
  • Eastern Cooperative Oncology Group (ECOG) performance status of 0 to 2
  • JAK-inhibitor treatment naive
  • PMF, post-PV MF, or post-ET MF that is TP53WT as assessed by central testing
  • ECOG performance status of 0 to 2
  • Treatment with a stable dose of ruxolitinib
  • Suboptimal response to run-in ruxolitinib treatment

Who cannot join

  • Prior Splenectomy
  • Splenic irradiation within 3 months prior to the first dose
  • Prior BCL-XL, BET, MDM2, PI3K, PIM, or XPO1 inhibitors therapy or p53-directed therapy
  • Eligible for Bone Marrow Transplant
  • Peripheral blood or bone marrow blast count ≥ 10 percent
  • Elevated white blood cell count that doubles (or more) during ruxolitinib treatment and exceeds 50 × 10^9/L
  • Peripheral blood or bone marrow blast count ≥ 10 percent

Trial locations and contacts

215 sites in 19 countries. Contact the study team or a site near you to ask about taking part.

215 sites in 19 countries

United States58 sites, 58 recruiting
  • University of Michigan Hospital

    Ann Arbor, Michigan, 48109

    Recruiting
  • Rocky Mountain Cancer Centers - Aurora

    Aurora, Colorado, 80012

    Recruiting
  • Johns Hopkins Sidney Kimmel Comprehensive Cancer Center

    Baltimore, Maryland, 21231

    Recruiting
  • Mary Bird Perkins Cancer Center

    Baton Rouge, Louisiana, 70809

    Recruiting
  • The Center for Cancer and Blood Disorders

    Bethesda, Maryland, 20817

    Recruiting
  • UAB Hospital

    Birmingham, Alabama, 35233

    Recruiting
  • Dana Farber Cancer Institute

    Boston, Massachusetts, 02215

    Recruiting
  • Brookdale University Hospital and Medical Center

    Brooklyn, New York, 11212

    Recruiting
  • Gabrail Cancer Center

    Canton, Ohio, 44718

    Recruiting
  • Medical University of South Carolina (MUSC)

    Charleston, North Carolina, 29425-8900

    Recruiting
  • Atrium Health Levine Cancer Institute

    Charlotte, North Carolina, 28204

    Recruiting
  • Tennessee Oncology

    Chattanooga, Tennessee, 37404

    Recruiting
  • University of Cincinnati Medical Center

    Cincinnati, Ohio, 45219

    Recruiting
  • Cleveland Clinic Cancer Center at Fairview Hospital

    Cleveland, Ohio, 44111

    Recruiting
  • Cleveland Clinic

    Cleveland, Ohio, 44195

    Recruiting
  • UT - SouthWestern

    Dallas, Texas, 75390

    Recruiting
  • Mission Cancer + Blood

    Des Moines, Iowa, 50314

    Recruiting
  • Henry Ford Cancer Institute - Brigitte Harris Cancer Pavilion

    Detroit, Michigan, 48202

    Recruiting
  • Duke University Medical Center

    Durham, North Carolina, 27710

    Recruiting
  • Willamette Valley Cancer Institute and Research Center

    Eugene, Oregon, 97401

    Recruiting
  • Banner MD Anderson Cancer Center

    Gilbert, Arizona, 85234

    Recruiting
  • Hackensack University Medical Center

    Hackensack, New Jersey, 07601

    Recruiting
  • Mohtaseb Cancer Center and Blood Disorders

    Henderson, Nevada, 86442

    Recruiting
  • U.T. MD Anderson Cancer Center

    Houston, Texas, 77030

    Recruiting
  • Independence Family Health Center - Cleveland Clinic

    Independence, Ohio, 44131

    Recruiting
  • Cayuga Cancer Center

    Ithaca, New York, 14850

    Recruiting
  • Mayo Clinic - Jacksonville

    Jacksonville, Florida, 32224

    Recruiting
  • UC San Diego Moores Cancer Center

    La Jolla, California, 92037

    Recruiting
  • Northwell Health, R.J. Zuckerberg Cancer Center

    Lake Success, New York, 11042

    Recruiting
  • Nebraska Hematology - Oncology, P.C.

    Lincoln, Nebraska, 68506

    Recruiting
  • UCLA Hematology/Oncology Clinic - Los Angeles

    Los Angeles, California, 90095

    Recruiting
  • Norton Cancer Institute

    Louisville, Kentucky, 40207

    Recruiting
  • Hillcrest Hospital - Cleveland Clinic

    Mayfield Heights, Ohio, 44124

    Recruiting
  • University of Miami

    Miami, Florida, 33136

    Recruiting
  • Tennessee Oncology

    Nashville, Tennessee, 37203

    Recruiting
  • Vanderbilt University Medical Center

    Nashville, Tennessee, 37232

    Recruiting
  • ICAHN School of Medicine at Mount Sinai

    New York, New York, 10029-6574

    Recruiting
  • Medical Oncology Hematology Consultants, PA

    Newark, Delaware, 19713

    Recruiting
  • AdventHealth Cancer Institute

    Orlando, Florida, 32803

    Recruiting
  • Abramson Cancer Center of the University of Pennsylvania

    Philadelphia, Pennsylvania, 19104

    Recruiting
  • Mayo Clinic - Phoenix

    Phoenix, Arizona, 85054

    Recruiting
  • West Penn Hospital

    Pittsburgh, Pennsylvania, 15224

    Recruiting
  • Virginia Cancer Institute

    Richmond, Virginia, 23229

    Recruiting
  • VCU Medical Center

    Richmond, Virginia, 23298

    Recruiting
  • University of Utah, Huntsman Cancer Institute

    Salt Lake City, Utah, 84112

    Recruiting
  • The University of Texas Health Science Center at San Antonio

    San Antonio, Texas, 78229

    Recruiting
  • Scripps Health, Prebys Cancer Center

    San Diego, California, 92103

    Recruiting
  • Fred Hutchinson Cancer Centre

    Seattle, Washington, 98109

    Recruiting
  • Sheboygan Cancer & Blood Specialists

    Sheboygan, Wisconsin, 53081

    Recruiting
  • Northwest Medical Specialties, PLLC - Tacoma

    Tacoma, Washington, 98405

    Recruiting
  • Moffitt Cancer Center

    Tampa, Florida, 33612

    Recruiting
  • Montefiore Einstein Comprehensive Cancer Center

    The Bronx, New York, 10467

    Recruiting
  • The Lundquist Institute for Biomedical Innovation at Harbor-UCLA Medical Center

    Torrance, California, 90502

    Recruiting
  • Virginia Oncology Associates - Virginia Beach

    Virginia Beach, Virginia, 23456

    Recruiting
  • MedStar Georgetown University Hospital, Lombardi Comprehensive Cancer Center

    Washington D.C., District of Columbia, 20007

    Recruiting
  • University of Kansas Cancer Center - Westwood

    Westwood, Kansas, 66205

    Recruiting
  • Regional Medical Oncology Center

    Wilson, North Carolina, 27893

    Recruiting
  • Atrium Health Wake Forest Baptist

    Winston-Salem, North Carolina, 27157

    Recruiting

Other trials in United States

Italy18 sites, 18 recruiting
  • National Hospital SS. Antonio e Biagio e Cesare Arrigo

    Alessandria

    Recruiting
  • Marche University Hospital

    Ancona, 60126

    Recruiting
  • Polyclinic S. Orsola-Malpighi

    Bologna, 40138

    Recruiting
  • ASST Spedali Civili Brescia

    Brescia

    Recruiting
  • University Hospital "G.Rodolico - San Marco"

    Catania

    Recruiting
  • Careggi University Hospital

    Florence, 50134

    Recruiting
  • Institute of Romagna for Cancer Research " Dino Amadori" - IRCCS IRST

    Forlì, 47014

    Recruiting
  • Maggiore Polyclinic Hospital, Foundation IRCCS Ca' Granda

    Milan, 20122

    Recruiting
  • European Institute of Oncology (IEO), IRCCS

    Milan

    Recruiting
  • University Hospital "Maggiore della Carita" of Novara

    Novara, 28100

    Recruiting
  • University Hospital San Luigi Gonzaga

    Orbassano

    Recruiting
  • University Polyclinic Hospital "Paolo Giaccone" Palermo

    Palermo

    Recruiting
  • Polyclinic San Matteo, IRCCS

    Pavia

    Recruiting
  • Local Health Company of Pesaro and Urbino

    Pesaro, 61121

    Recruiting
  • Hospital Arcispedale S. Maria Nuova of Reggio Emilia

    Reggio Emilia

    Recruiting
  • Hospital S. Eugenio- Rome 2 ASL

    Rome

    Recruiting
  • City of Health and Science of Turin

    Turin, 10126

    Recruiting
  • ASST Sette Laghi Hospital

    Varese

    Recruiting

Other trials in Italy

France14 sites, 14 recruiting
  • Amiens Picardie University Hospital - South

    Amiens, 59037

    Recruiting
  • Angers University Hospital Center

    Angers

    Recruiting
  • Lille Regional University Hospital Center

    Lille, 59037

    Recruiting
  • South Lyon Hospital Center

    Lyon, 69310

    Recruiting
  • Leon Berard Center

    Lyon

    Recruiting
  • Nantes University Hospital Center - Hotel Dieu Hospital

    Nantes, 44000

    Recruiting
  • Archet 1 and 2 hospital

    Nice, 06200

    Recruiting
  • Nimes University Hospital Center, Department of Clinical Hematology and Medical Oncology

    Nîmes, 30900

    Recruiting
  • Saint-Louis Hospital, Department of Adult Hematology

    Paris, Paris, 75010

    Recruiting
  • Bordeaux University Hospital

    Pessac

    Recruiting
  • University Hospital Center of Poitiers

    Poitiers

    Recruiting
  • Strasbourg Europe Institut of Cancerology

    Strasbourg, 67200

    Recruiting
  • University Hospital of Toulouse, IUCT-Oncopole

    Toulouse

    Recruiting
  • Tours Regional University Hospital Center

    Tours, 37000

    Recruiting

Other trials in France

Germany14 sites, 14 recruiting
  • Marien Hospital Duesseldorf GmbH

    Düsseldorf, 40479

    Recruiting
  • University Hospital Freiburg

    Freiburg im Breisgau, 79106

    Recruiting
  • University Hospital Halle (Saale)

    Halle, 06120

    Recruiting
  • University Hospital Hamburg-Eppendorf

    Hamburg, 20246

    Recruiting
  • Hannover Medical School

    Hanover

    Recruiting
  • University Hospital Heidelberg

    Heidelberg, 69120

    Recruiting
  • University Hospital Jena

    Jena, 07747

    Recruiting
  • University Hospital Schleswig-Holstein

    Kiel, 24105

    Recruiting
  • MVZ Mitte Am Johannisplatz

    Leipzig, 04103

    Recruiting
  • Hospital Rechts der Isar

    Munich, 81675

    Recruiting
  • Staufer Schwaebisch Gmuend Hospital

    Mutlangen, 73557

    Recruiting
  • Hospital Nuernberg, Campus North

    Nuremberg, 90419

    Recruiting
  • Robert-Bosch-Hospital

    Stuttgart, 70376

    Recruiting
  • University Hospital Ulm

    Ulm, 89081

    Recruiting

Other trials in Germany

United Kingdom14 sites, 14 recruiting
  • Birmingham Heartlands Hospital

    Birmingham, B9 5SS

    Recruiting
  • Lincoln County Hospital

    Boston, Lincoln County Hospital

    Recruiting
  • Pilgrim Hospital

    Boston, PE21 9QS

    Recruiting
  • Addenbrooke's Hospital

    Cambridge, CB2 0QQ

    Recruiting
  • University Hospital of Wales

    Cardiff, CF14 4XW

    Recruiting
  • Western General Hospital, Lothian Health Board

    Edinburgh, EH4 2XU

    Recruiting
  • Gloucestershire Royal Hospital

    Gloucester, GL1 3NN

    Recruiting
  • Harrogate District Hospital

    Harrogate, HG2 7SX

    Recruiting
  • Leicester Royal Infirmary

    Leicester, LE1 5WW

    Recruiting
  • The Clatterbridge Cancer Center NHS Foundation Trust

    Liverpool, L7 8YA

    Recruiting
  • University College Hospital

    London, NW1 2PG

    Recruiting
  • Guy's Hospital

    London, SE1 9RT

    Recruiting
  • Genesis Care, Oxford

    Oxford, OX4 6LB

    Recruiting
  • Genesis Care, Windsor

    Windsor, SL4 3HD

    Recruiting

Other trials in United Kingdom

Poland12 sites, 12 recruiting
  • "InterHem" General Partnership

    Bialystok

    Recruiting
  • University Teaching Centre, Hematology and Transplantology Clinic

    Gdansk

    Recruiting
  • Independent Public Healthcare Facility University Hospital in Krakow

    Krakow

    Recruiting
  • Nicolaus Copernicus Provincial Multispecialty Oncology and Traumatology Center

    Lodz, 93-513

    Recruiting
  • Jedrzej Sniadecki Specialist Hospital in Nowy Sacz

    Nowy Sącz, 33 - 300

    Recruiting
  • Oncology Center of Warmia and Mazury in Olsztyn

    Olsztyn

    Recruiting
  • AIDPORT

    Poznan, 60-185

    Recruiting
  • Janusz Korczak Provincial Specialist Hospital

    Słupsk, 76-200

    Recruiting
  • Dom Lekarski Medical Center Outlet Park

    Szczecin, 70-784

    Recruiting
  • Dr Alfred Sokolowski Specialty Hospital

    Wałbrzych

    Recruiting
  • Clinical Best Solutions LLC, Limited Partnership

    Warsaw, 00-710

    Recruiting
  • Jan Mikulicz-Radecki Teaching Hospital in Wroclaw

    Wroclaw

    Recruiting

Other trials in Poland

Spain12 sites, 11 recruiting
  • University Hospital Germans Trias i Pujol

    Badalona, 08916

    Recruiting
  • University Hospital Vall d'Hebron

    Barcelona, 08035

    Recruiting
  • Catalan Institute of Oncology, Hospital Duran i Reynals

    Barcelona

    Recruiting
  • Caceres Hospital Complex - San Pedro de Alcantara General Hospital

    Cáceres, 10003

    Withdrawn
  • Gran Canaria Dr Negrin University Hospital

    Las Palmas de Gran Canaria, 35010

    Recruiting
  • University Hospital 12 de Octubre

    Madrid, 28041

    Recruiting
  • University Hospital Ramon y Cajal

    Madrid, 28041

    Recruiting
  • University Hospital Virgen de la Victoria

    Málaga, 29010

    Recruiting
  • University Clinical Hospital of Salamanca

    Salamanca, 37007

    Recruiting
  • University Clinical Hospital of Valencia

    Valencia, 46010

    Recruiting
  • University and Polytechnic Hospital La Fe

    Valencia, 46026

    Recruiting
  • Quironsalud Zaragoza Hospital

    Zaragoza, 50006

    Recruiting

Other trials in Spain

Australia11 sites, 11 recruiting
  • Royal Adelaide Hospital

    Adelaide, SA 5000

    Recruiting
  • Monash Medical Center Clayton

    Clayton, VIC 3168

    Recruiting
  • Townsville University Hospital

    Douglas, QLD 4814

    Recruiting
  • Gosford Hospital

    Gosford, NSW 2250

    Recruiting
  • Royal Hobart Hospital (RHH)

    Hobart, Tasmania, 7000

    Recruiting
  • St George Hospital

    Kogarah, NSW 2217

    Recruiting
  • The Royal Melbourne Hospital - Peter MacCallum Cancer Center

    Melbourne, VIC 3000

    Recruiting
  • The Alfred Hospital

    Melbourne, VIC 3004

    Recruiting
  • Sir Charles Gairdner Hospital

    Nedlands, Western Australia, 6009

    Recruiting
  • Royal Perth Hospital

    Perth, 6000

    Recruiting
  • Calvary Mater Newcastle Hospital

    Waratah, NSW 2298

    Recruiting

Other trials in Australia

South Korea9 sites, 9 recruiting
  • Inje University Busan Paik Hospital

    Busan, 47392

    Recruiting
  • Pusan National University Hospital

    Busan, 49241

    Recruiting
  • Kyungpook National University Hospital

    Daegu, 41944

    Recruiting
  • Keimyung University - Dongsan Medical Center

    Daegu, 42601

    Recruiting
  • Seoul National University Hospital

    Seoul, 03080

    Recruiting
  • Severance Hospital, Yonsei University Health System

    Seoul, 03722

    Recruiting
  • Soon Chun Hyang University Hospital Seoul

    Seoul, 04401

    Recruiting
  • Asan Medical Center

    Seoul, 05505

    Recruiting
  • The Catholic University of Korea, Seoul St. Mary's Hospital

    Seoul, 06591

    Recruiting

Other trials in South Korea

Austria7 sites, 7 recruiting
  • University Hospital Graz, Department of Internal Medicine

    Graz, 8036

    Recruiting
  • Medical University Innsbruck, Department of Internal Medicine V (Hematology and Oncology)

    Innsbruck, 6020

    Recruiting
  • Regional Hospital Hochsteiermark - Leoben, Department of Internal Medicine, Department of Hematology and Oncology

    Leoben, 8700

    Recruiting
  • Ordensklinikum Linz GmbH Elisabethinen Hospital, Department of Internal Medicine I - Hemato-Oncology

    Linz, 4020

    Recruiting
  • Kepler University Hospital GmbH, Med Campus 3, University Clinic for Hematology and Internal Oncology

    Linz, 4021

    Recruiting
  • Medical University Vienna

    Vienna, 1090

    Recruiting
  • Hospital Ottakring, Department of Internal Medicine I

    Vienna, 1160

    Recruiting

Other trials in Austria

Croatia7 sites, 7 recruiting
  • Clinical Hospital Centre Rijeka

    Rijeka, 51 000

    Recruiting
  • General Hospital of Sibenik-Knin County

    Šibenik, 22000

    Recruiting
  • University Hospital of Split

    Split, 21000

    Recruiting
  • Clinical Hospital Dubrava

    Zagreb, 10000

    Recruiting
  • Clinical Hospital Merkur

    Zagreb, 10000

    Recruiting
  • Solmed Clinic

    Zagreb, 10000

    Recruiting
  • University Hospital Centre Zagreb

    Zagreb, 10000

    Recruiting

Other trials in Croatia

Georgia6 sites, 6 recruiting
  • JSC Vian

    Kutaisi, 4600

    Recruiting
  • JSC German Hospital

    Tbilisi, 0119

    Recruiting
  • LEPL The First University Clinic of Tbilisi State Medical University

    Tbilisi, 0141

    Recruiting
  • Tbilisi State Medical University and Ingorokva High Medical Technology University Clinic LLC

    Tbilisi, 0144

    Recruiting
  • JSC K. Eristavi National Center of Experimental and Clinical Surgery

    Tbilisi, 0159

    Recruiting
  • Caucasus Medical Centre LLC

    Tbilisi, 0186

    Recruiting

Other trials in Georgia

Belgium5 sites, 5 recruiting
  • Antwerp Hospital Network (ZNA) Cadix

    Antwerp, 2030

    Recruiting
  • University Hospitals Leuven, Campus Gasthuisberg

    Leuven, 3000

    Recruiting
  • University Hospital Center Sart-Tilman

    Liège, 4000

    Recruiting
  • General Hospital Delta

    Roeselare, 8800

    Recruiting
  • UCL Mont-Godinne University Hospitals

    Yvoir, 5530

    Recruiting

Other trials in Belgium

Czechia5 sites, 5 recruiting
  • University Hospital Brno, Clinic of Internal Medicine - Hematology and Oncology

    Brno, 625 00

    Recruiting
  • University Hospital Hradec Kralove

    Hradec Králové, 500 05

    Recruiting
  • University Hospital Ostrava

    Ostrava, 708 52

    Recruiting
  • University Hospital Kralovske Vinohrady

    Prague, 100 00

    Recruiting
  • Institute of Hematology and Blood Transfusion

    Prague, 12800

    Recruiting

Other trials in Czechia

Greece5 sites, 5 recruiting
  • General Hospital of Athens Laikon

    Athens, 115 27

    Recruiting
  • University General Hospital "Attikon"

    Athens, PC 12462

    Recruiting
  • University General Hospital of Ioannina

    Ioannina

    Recruiting
  • University General Hospital of Patras

    Pátrai, 26504

    Recruiting
  • General Hospital of Thessaloniki "G. Papanikolaou"

    Thessaloniki, PC 57010

    Recruiting

Other trials in Greece

Portugal5 sites, 5 recruiting
  • Hospital Center of Baixo Vouga -Aveiro Unit - Hospital Infante D. Pedro

    Aveiro, 3810- 501

    Recruiting
  • Braga Hospital

    Braga

    Recruiting
  • Central Hospital of Western Lisbon

    Lisbon, 1449-005

    Recruiting
  • Centro Hospitalar Lisboa Norte (CHLN) EPE - Hospital de Santa Maria

    Lisbon, 1649-035

    Recruiting
  • Vila Nova de Gaia Central Hospital

    Vila Nova de Gaia

    Recruiting

Other trials in Portugal

Romania5 sites, 5 recruiting
  • Onco Card Srl

    Brasov, 500052

    Recruiting
  • Colentina Clinical Hospital, Department of Hematology

    Bucharest, 020125

    Recruiting
  • "Prof. Dr. Ion Chiricuta" Institute of Oncology, Hematology Department

    Cluj-Napoca, 400015

    Recruiting
  • Bihor County Emergency Clinical Hospital, Department of Hematology

    Oradea, 410469

    Recruiting
  • Targu Mures County Emergency Clinical Hospital, Internal Medicine Department I, Hematology Unit

    Târgu Mureş, 540136

    Recruiting

Other trials in Romania

Hungary4 sites, 4 recruiting
  • Semmelweis University

    Budapest, H-1088

    Recruiting
  • Szabolcs-Szatmar-Bereg County Teaching Hospital

    Nyíregyháza, 4400

    Recruiting
  • Fejer County St. Gyorgy University Teaching Hospital

    Székesfehérvár

    Recruiting
  • Tolna County Hospital

    Szekszárd, H-7100

    Recruiting

Other trials in Hungary

Serbia4 sites, 4 recruiting
  • University Clinical Center of Serbia

    Belgrade, 11000

    Recruiting
  • Clinical Hospital Center Bezanijska Kosa

    Belgrade, 7203

    Recruiting
  • University Clinical Center Kragujevac

    Kragujevac, 34 000

    Recruiting
  • Clinical Center of Vojvodina

    Novi Sad

    Recruiting

Other trials in Serbia

About this study

Official title: A Phase 3, Randomized, Double-blind, Add-on Study Evaluating the Safety and Efficacy of Navtemadlin Plus Ruxolitinib vs Placebo Plus Ruxolitinib in JAK Inhibitor-Naïve Patients With Myelofibrosis Who Have a Suboptimal Response to Ruxolitinib

This clinical trial is evaluating whether addition of navtemadlin to ruxolitinib treatment will provide more clinical benefit than ruxolitinib alone for patients with Myelofibrosis who have a suboptimal response to ruxolitinib treatment alone.

Subjects will start by receiving ruxolitinib alone in the run-in period. Those who demostrate a suboptimal response from ruxolitinib alone will then be randomized 2:1 to receive navtemadlin or navtemadlin placebo as add-on treatment to their ongoing ruxolitinib. Randomized means that subjects will be assigned to a group by chance, like a flip of a coin. The study is blinded, meaning the subjects, doctors, central endpoint assessors and sponsor will not know which add on treatment (navtemadlin or navtemadlin placebo) the subject is receiving.

Being tested
Navtemadlin, Navtemadlin placebo, Ruxolitinib
Keywords
Navtemadlin, KRT-232, Ruxolitinib, POIESIS, TP53, Suboptimal response, Sub-optimal response
Medical subject headings
Primary Myelofibrosis

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • NavtemadlinDrug

    Also called KRT-232

    Navtemadlin is an investigational MDM2 inhibitor

  • Navtemadlin placeboDrug

    Also called KRT-232

    Navtemadlin placebo

  • RuxolitinibDrug

    Also called Jakafi, Jakavi

    Ruxolitinib is a janus kinase 1/2 inhibitor

Study groups in NCT06479135
Study groupRoleWhat they receive
Arm 1ExperimentalNavtemadlin administered orally once daily on Days 1-7, off treatment on Days 8-28, in 28-day treatment cycles. Ruxolitinib administered orally twice a day.
Receives: Drug: Navtemadlin; Drug: Ruxolitinib
Arm 2Active comparatorNavtemadlin placebo administered orally once daily on Days 1-7, off treatment on Days 8-28, in 28-day treatment cycles. Ruxolitinib administered orally twice a day.
Receives: Drug: Navtemadlin placebo; Drug: Ruxolitinib

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. To compare spleen volume reduction (SVR35) between Arm 1 and Arm 2

    The proportion of subjects in each arm with SVR35 by MRI/CT scan (central review) 24 weeks after start of the randomized period

    Measured: 24 weeks

  2. To compare total symptom score reduction (TSS50) between Arm 1 and Arm 2

    The proportion of subjects in each arm with a TSS50 by the Myelofibrosis Symptom Assessment Form (MFSAF) v4.0 24 weeks after start of the randomized period

    Measured: 24 weeks

Secondary outcomes (2)
  1. To compare time to progression between Arm 1 and Arm 2

    Time to progression or death from any cause in subjects randomized to each arm

    Measured: Up to 8 years

  2. To compare overall survival (OS) between Arm 1 and Arm 2

    Time to death from any cause in subjects randomized to each arm

    Measured: Up to 8 years

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted28 Jun 2024
  2. Study start3 Jun 2024
  3. Primary completion31 Dec 2026 (estimated)
  4. Study completion31 Dec 2028 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
600 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06479135
Sponsor's protocol ID
KRT-232-115
Acronym
POIESIS
Status last verified
Oct 2024
First submitted
21 Jun 2024
Last updated
25 Sep 2025
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No

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